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Home My WebLink AboutIMPV-08-2023-202027.TIF t ' 4e CATAWBA COUNTY 4. Public Health Department Subdivision WOODLAND OAKS �, Environmental Health Division PIN# 376004936294 PO Box 389,25 Government Drive,Newton,NC 28658 L.OT# 36 Site Address: 3964 HOKE ST, CLAREMONT NC 28610 Name on Permit: *JW ROOFING&CONSTRUCTION INC Property Size: Acres 0.74 Directions: Balls Creek RD Turn onto Hoke ST, lot is down the road near end on theright ( f Owner/Authorized Representative Acknowledgement of Permit Receipt ` 'L:w I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of / the property described above, As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-07-2023-44842, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) at Electronic Image Transmittal/E-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900), and/or Well Construction Standards(15A NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 08/07/2023 Owner/Authorized Representative Signature 0 / Date Ph '/ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name afperson sending permit) Signature _ Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 3 6 I z3 ,,,„,,,nit 08/07/2023 11:25 �`itl.• CATAWBA COUNTY Case# IMPV-08-2023-202027 if Public Health Department Subdivision WOODLAND OAKS 2 1 Environmental Health Division PIN# 376004936294 Artzoit PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 36 Site Address: 3964 HOKE ST, CLAREMONT NC 28610 Name on Permit: *JW ROOFING&CONSTRUCTION INC Property Size: Acres 0.74 Directions: Balls Creek RD Turn onto Hoke ST, lot is down the road near end on theright Improvement Permit AN AUTHORIZATION TO CONS'IRUCI'MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 g.p.d Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Community Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50% REDUCTION HORIZONTAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM REPAIR SYSTEM SPECIFICATIONS — Repair System Required? Required Proposed Wastewater System: 50%REDUCTION HORIZONTAL System Classification: IVA-ANY SYSTEM WTH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA *DESIGNED FOR GRAVITY, PLUMBING MUST COME OUT THE FRONT OF HOME Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains,is pot approved,and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewaze Treatment and Disposal Systems'(15A NCAC I8A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. „ef(................. ...' lit,..1 Evans D8/07/2023 Authorized State Agent Permit issuance Date 8f7/2026 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpenmit 08/07/2023 11:25 Catawba County Environmental Health RBPRo7ao3 . f; . J1npv- or . ap . ,� . . • - c47 Aarg .p?- .Av ' - ' X3I ,,,I. 59 6/ t ill r.1 e0/1 14 I Ponal g. ,nels Etc1 N• ale L y ;o)gl PQnels .3964 o' 1. s. ryc 1. . 'I 'til %?tel g;yet, 6 1 #35' 0 1 ;15 ik 41 •3955 V S0 VJ 6 co 276.e0 MS Parcel:3701:01936294.3964 HOKE ST 1 in=40ft CLAREMONT.28610 i+r.mophopoo A1ral obi rowed S..*.COWS.Cow MC a.mp.w l,wo....o Srva... 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